<!-- Modal -->
<div class="modal fade modal-wide" id="tambah-lokasi-modal" tabindex="-1" role="dialog" aria-labelledby="myModalLabel" aria-hidden="true">
    <div class="modal-dialog">
        <div class="modal-content">
            <div class="modal-header">
                <button type="button" class="close" data-dismiss="modal" aria-hidden="true">&times;</button>
                <h4 class="modal-title" id="myModalLabel">Tambah Lokasi</h4>
            </div>
            
            <form action="" method="post" class="form-horizontal" role="form">
            <div class="modal-body">                
                    <div class="form-group">
                        <label class="col-sm-2 control-label">Nama</label>
                        <div class="col-sm-10">            
                            <input type="text" name="nama" id="nama" class="form-control">
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-sm-2 control-label">Jenis</label>
                        <div class="col-sm-10">            
                            <select name="tipe_id" id="tipe_id" class="form-control">
                                <option value="">- - Pilih Jenis - -</option>                                
                            </select>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="col-sm-2 control-label">Alamat</label>
                        <div class="col-sm-10">
                            <textarea name="alamat" id="alamat" class="form-control" cols="30" rows="10"></textarea>
                        </div>
                    </div>                    
                    <div class="form-group">
                        <label class="col-sm-2 control-label">Keterangan</label>
                        <div class="col-sm-10">            
                            <textarea class="form-control" name="keterangan" id="keterangan" cols="30" rows="10"></textarea>
                        </div>
                    </div>                                        
            </div>

            <div class="modal-footer">                
                <button type="reset" class="btn btn-success"><i class="fa fa-refresh"></i> Reset</button>                            
                <button type="submit" class="btn btn-primary"><i class="fa fa-floppy-o"></i> Save</button>                            
            </div>
            </form>
        </div><!-- /.modal-content -->
    </div><!-- /.modal-dialog -->
</div><!-- /.modal -->